# Utah S.B. 319: Health Insurance Preauthorization Amendments Utah S.B. 319, Health Insurance Preauthorization Amendments, is a 2026 General Session Senate bill sponsored by John D. Johnson (Republican); status signed, last action 2026-03-19 (Governor Signed); PRIA reads it as touching household money (as of 2026-10-14). - Canonical: https://policyrisk.com/state-bill/UT-SB319-2026GS - As of: 2026-10-14 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Utah S.B. 319 - State: Utah - Session: 2026 General Session - Title: Health Insurance Preauthorization Amendments - Status: signed - Chamber: Senate - Introduced: 2026-02-23 - Last action: 2026-03-19, Governor Signed - Sponsor: John D. Johnson (Republican) - Cosponsors: 1 - Subjects: Health Insurance, Insurance, Insurance Department, Business, Health and Human Services, Health Benefits and Claims, Commercial Health Insurance\Managed Care Contracts - Touches household money: yes - Roll calls: 11 (166 yes, 1 no in all) - Economic provisions PRIA read: 5 ## Summary No summary available. ## Bill overview: provisions PRIA read - Insurers must pay for approved care: benefit, medium. Beginning January 1, 2027, insurers must pay contracted providers for approved services under the plan’s terms. Payment is not required if the provider is no longer contracted on the service date or misses filing deadlines. Another exception covers billed codes or services outside the approval requ… - Longer care approvals for insured patients: benefit, medium. Beginning January 1, 2027, insurers must state how long each approval lasts and the duration of the approved service. Approvals for chronic or long-term care drugs, devices, or services generally must last at least 12 months. These conditions last at least three months and need ongoing medical atte… - Patients get deadlines for care approvals: benefit, medium. Beginning January 1, 2027, insurers must decide care approval requests and notify network providers within seven calendar days. That clock starts after the insurer receives all needed information; urgent requests have a 72-hour deadline. If information is missing, insurers must identify it within o… - Patients get clearer care denial notices: benefit, low. Beginning January 1, 2027, care denial notices must show each requested billing code as approved or denied on the first page. Insurers must send patients and providers a detailed explanation and appeal information, including the expedited appeal process. Reviewers making clinical or medical-necessi… - Patients get clearer insurance approval rules: benefit, low. Beginning January 1, 2027, covered insurers must clearly post understandable care approval rules on a publicly accessible website. Posts must include approval and denial totals, appeal outcomes, average appeal response times, and denials caused by noncompliant provider submissions. Insurers using a… ## Sponsors and cosponsors - Sponsor: John D. Johnson (Republican), Senate - Cosponsor: Katy Hall (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-03-05 | Senate | Senate/ concurs with House amendment | pass | 26 | 0 | | | 2026-03-04 | House | House/ passed 3rd reading | pass | 69 | 1 | | | 2026-03-04 | House | House Comm - Substitute Recommendation | pass | 8 | 0 | | | 2026-03-04 | House | House Comm - Favorable Recommendation | pass | 9 | 0 | | | 2026-03-04 | House | House/ circled | fail | 0 | 0 | | | 2026-03-04 | House | House/ uncircled | fail | 0 | 0 | | | 2026-03-03 | Senate | Senate/ passed 3rd reading | pass | 28 | 0 | | | 2026-03-02 | Senate | Senate/ passed 2nd reading | pass | 22 | 0 | | | 2026-03-02 | Senate | Senate/ circled | fail | 0 | 0 | | | 2026-03-02 | Senate | Senate/ uncircled | fail | 0 | 0 | | | 2026-02-27 | Senate | Senate Comm - Favorable Recommendation | pass | 4 | 0 | | ## Actions (45) - 2026-03-19: Governor Signed - 2026-03-13: Senate/ to Governor (Senate) - 2026-03-13: Senate/ received enrolled bill from Printing (Senate) - 2026-03-11: Senate/ enrolled bill to Printing (Senate) - 2026-03-11: Enrolled Bill Returned to House or Senate - 2026-03-06: Draft of Enrolled Bill Prepared - 2026-03-06: Bill Received from Senate for Enrolling - 2026-03-06: Senate/ signed by President/ sent for enrolling (Senate) - 2026-03-06: Senate/ received from House (Senate) - 2026-03-05: House/ to Senate (House) - 2026-03-05: House/ signed by Speaker/ returned to Senate (House) - 2026-03-05: House/ received from Senate (House) - 2026-03-05: Senate/ to House (Senate) - 2026-03-05: Senate/ concurs with House amendment (Senate) - 2026-03-05: Senate/ placed on Concurrence Calendar (Senate) - 2026-03-05: Senate/ received from House (Senate) - 2026-03-04: House/ to Senate (House) - 2026-03-04: House/ passed 3rd reading (House) - 2026-03-04: House/ uncircled (House) - 2026-03-04: House/ circled (House) - 2026-03-04: House/ 3rd reading (House) - 2026-03-04: House/ 2nd reading (House) - 2026-03-04: House/ Rules to 3rd Reading Calendar (House) - 2026-03-04: House/ return to Rules due to fiscal impact (House) - 2026-03-04: House/ comm rpt/ substituted (House) - 2026-03-04: House Comm - Favorable Recommendation - 2026-03-04: House Comm - Substitute Recommendation - 2026-03-03: House/ to standing committee (House) - 2026-03-03: House/ 1st reading (Introduced) (House) - 2026-03-03: House/ received from Senate (House) - 2026-03-03: Senate/ to House (Senate) - 2026-03-03: Senate/ passed 3rd reading (Senate) - 2026-03-03: Senate/ 3rd reading (Senate) - 2026-03-02: Senate/ passed 2nd reading (Senate) - 2026-03-02: Senate/ uncircled (Senate) - 2026-03-02: Senate/ circled (Senate) - 2026-03-02: Senate/ 2nd reading (Senate) - 2026-02-27: Senate/ placed on 2nd Reading Calendar (Senate) - 2026-02-27: Senate/ committee report favorable (Senate) - 2026-02-27: Senate Comm - Favorable Recommendation - 2026-02-25: Senate/ to standing committee (Senate) - 2026-02-25: Senate/ received fiscal note from Fiscal Analyst (Senate) - 2026-02-23: Senate/ 1st reading (Introduced) (Senate) - 2026-02-23: Senate/ received bill from Legislative Research (Senate) - 2026-02-23: Numbered Bill Publicly Distributed ## Bill text - Enrolled, 2026-03-11: [PDF](https://le.utah.gov/Session/2026/bills/enrolled/SB0319.pdf) - Substitute #1, 2026-03-04: [PDF](https://le.utah.gov/Session/2026/bills/introduced/SB0319S01.pdf) - Introduced, 2026-02-23: [PDF](https://le.utah.gov/Session/2026/bills/introduced/SB0319.pdf) ## Related bills - H.B. 94: Criminal Accounts Receivable Amendments (signed) - H.B. 101: Firearm Background Check Amendments (signed) - H.B. 178: School Zone Speeding Amendments (signed) - H.B. 134: Offender Transfer Amendments (signed) - H.B. 136: Unlicensed Driver Amendments (signed) - H.B. 220: Public Safety Data Amendments (signed) ## Sources - [Enrolled (PDF)](https://le.utah.gov/Session/2026/bills/enrolled/SB0319.pdf) - [Substitute #1 (PDF)](https://le.utah.gov/Session/2026/bills/introduced/SB0319S01.pdf) - [Introduced (PDF)](https://le.utah.gov/Session/2026/bills/introduced/SB0319.pdf) ## Related - [H.B. 94: Criminal Accounts Receivable Amendments](https://policyrisk.com/state-bill/UT-HB94-2026GS) - [H.B. 101: Firearm Background Check Amendments](https://policyrisk.com/state-bill/UT-HB101-2026GS) - [H.B. 178: School Zone Speeding Amendments](https://policyrisk.com/state-bill/UT-HB178-2026GS) - [H.B. 134: Offender Transfer Amendments](https://policyrisk.com/state-bill/UT-HB134-2026GS) - [H.B. 136: Unlicensed Driver Amendments](https://policyrisk.com/state-bill/UT-HB136-2026GS) - [H.B. 220: Public Safety Data Amendments](https://policyrisk.com/state-bill/UT-HB220-2026GS) - [Utah bills](https://policyrisk.com/states/utah/bills) - [Utah state hub](https://policyrisk.com/states/utah) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/UT-SB319-2026GS (as of 2026-10-14).